Affiliated Hospital of Nantong University.
J Transcult Nurs. 2022 Mar;33(2):141-149. doi: 10.1177/10436596211043277. Epub 2021 Sep 6.
In comparison with Western cultures, the closed management system makes it difficult to implement family-centered nursing in many intensive care unit (ICU) in China. There are differences in cultural cognition and social environment between China and the West. The purpose of this study was to explore the experience and needs of critically ill patients and their relatives from a Chinese cultural perspective.
This was a qualitative study using semistructured interviews conducted in a 26-bed integrated ICU at a Tertiary Grade A comprehensive hospital in Nantong, China. The participants included patients admitted in the ICU and their relatives. We used Colaizzi's seven-step procedure to analyze interview data.
A total of 15 participants were recruited. Main categories within the patient perspective were variety of feelings, staff assistance required, and expectations for relatives. Patient opinions differed about the feelings of hospitalization and whether they needed the help of staff and relatives. The main categories from the relatives' perspective were life is disrupted, information needs, and emotional needs. Relatives of patients in the ICU experienced a lot of physical and mental pressure. The lack of timely understanding of the patient's condition and needs made them feel anxious.
The closed management system currently used in China limits contact between ICU patients and their relatives, increasing their physical and emotional discomfort. Hospitals in China should consider updating to a more open visiting policy based on current guidelines for family-centered care. Such policies enable staff to continue providing quality care for their patients while addressing patient and family needs.
与西方文化相比，中国许多重症监护病房（ICU）采用封闭式管理制度，难以实施以家庭为中心的护理。中西方在文化认知和社会环境方面存在差异。本研究旨在从中国文化视角探讨危重症患者及其家属的体验和需求。
这是一项定性研究，采用半结构式访谈，在南通一家三级甲等综合医院的 26 张床位综合 ICU 进行。参与者包括入住 ICU 的患者及其家属。我们采用科拉齐的七步程序对访谈数据进行分析。
共招募了 15 名参与者。患者视角的主要类别包括各种感受、所需的员工帮助以及对亲属的期望。患者对住院感受以及是否需要员工和亲属的帮助存在不同意见。亲属视角的主要类别包括生活被打乱、信息需求和情感需求。ICU 患者的亲属经历了很多身心压力。他们缺乏对患者病情和需求的及时了解，感到焦虑。
目前在中国使用的封闭式管理制度限制了 ICU 患者与家属的接触，增加了他们的身心不适。中国的医院应考虑根据当前以家庭为中心的护理指南更新更开放的探视政策。这样的政策使工作人员能够在满足患者和家属需求的同时，继续为患者提供优质护理。
